Active NPI
Michelle Dunn, OTR/L, CHT
- Occupational Therapist
- Campbell Hall, NY
National Provider Identifier
1548630494
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 020012
- Practice address
- 17 Mountainview Dr
Campbell Hall, NY 10916-2905 - Phone
- (845) 915-0115
- Fax
- (845) 782-7358
- NPI assigned
- Oct 5, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 020012 | NY | Primary |
Addresses
Primary practice location
17 Mountainview Dr
Campbell Hall, NY 10916-2905
Mailing address
17 Mountainview Dr
Campbell Hall, NY 10916-2905
Phone (845) 915-0115
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 020012 | Other | NY | NEW YORK STATE OFFICE OF THE PROFESSIONS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1444003200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632873600000",
"number": "1548630494",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17 MOUNTAINVIEW DR",
"city": "CAMPBELL HALL",
"state": "NY",
"postal_code": "109162905",
"telephone_number": "845-915-0115",
"fax_number": "845-782-7358"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17 MOUNTAINVIEW DR",
"city": "CAMPBELL HALL",
"state": "NY",
"postal_code": "109162905",
"telephone_number": "845-915-0115",
"fax_number": "845-782-7358"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUNN",
"first_name": "MICHELLE",
"credential": "OTR/L, CHT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-10-05",
"last_updated": "2021-09-29",
"certification_date": "2021-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "020012",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEW YORK STATE OFFICE OF THE PROFESSIONS",
"identifier": "020012",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Campbell Hall, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.